The Global Spine Care Initiative: model of care and implementation

Claire D. Johnson; Scott Haldeman; Roger Chou; Margareta Nordin; Bart N. Green; Pierre Côté; Eric L. Hurwitz; Deborah Kopansky-Giles; Emre Acaroğlu; Christine Cedraschi; Arthur Ameis; Kristi Randhawa; Ellen Aartun; Afua Adjei-Kwayisi; Selim Ayhan; Amer Aziz; Teresa Bas; Fiona Blyth; David Borenstein; O’Dane D. Brady; Peter Brooks; Connie Camilleri; Juan M. Castellote; Michael B. Clay; Fereydoun Davatchi; Jean Dudler; Robert Dunn; Stefan Eberspaecher; Juan Emmerich; Jean Pierre Farcy; Norman Fisher-Jeffes; Christine Goertz; Michael Grevitt; Erin A. Griffith; Najia Hajjaj-Hassouni; Jan Hartvigsen; Maria Hondras; Edward J. Kane; Julie Laplante; Nadège Lemeunier; John Mayer; Silvano Mior; Tiro Mmopelwa; Michael Modic; Jean Moss; Rajani Mullerpatan; Elijah Muteti; Lillian Mwaniki; Madeleine Ngandeu-Singwe; Geoff Outerbridge; Shanmuganathan Rajasekaran; Heather Shearer; Matthew Smuck; Erkin Sönmez; Patricia Tavares; Anne Taylor-Vaisey; Carlos Torres; Paola Torres; Alexander van der Horst; Leslie Verville; Emiliano Vialle; Gomatam Vijay Kumar; Adriaan Vlok; William Watters; Chung Chek Wong; Jessica J. Wong; Hainan Yu; Selcen Yüksel

doi:10.1007/s00586-018-5720-z

The Global Spine Care Initiative: model of care and implementation

Claire D. Johnson, Scott Haldeman, Roger Chou, Margareta Nordin, Bart N. Green, Pierre Côté, Eric L. Hurwitz, Deborah Kopansky-Giles, Emre Acaroğlu, Christine Cedraschi, Arthur Ameis, Kristi Randhawa, Ellen Aartun, Afua Adjei-Kwayisi, Selim Ayhan, Amer Aziz, Teresa Bas, Fiona Blyth, David Borenstein, O’Dane D. BradyPeter Brooks, Connie Camilleri, Juan M. Castellote, Michael B. Clay, Fereydoun Davatchi, Jean Dudler, Robert Dunn, Stefan Eberspaecher, Juan Emmerich, Jean Pierre Farcy, Norman Fisher-Jeffes, Christine Goertz, Michael Grevitt, Erin A. Griffith, Najia Hajjaj-Hassouni, Jan Hartvigsen, Maria Hondras, Edward J. Kane, Julie Laplante, Nadège Lemeunier, John Mayer, Silvano Mior, Tiro Mmopelwa, Michael Modic, Jean Moss, Rajani Mullerpatan, Elijah Muteti, Lillian Mwaniki, Madeleine Ngandeu-Singwe, Geoff Outerbridge, Shanmuganathan Rajasekaran, Heather Shearer, Matthew Smuck, Erkin Sönmez, Patricia Tavares, Anne Taylor-Vaisey, Carlos Torres, Paola Torres, Alexander van der Horst, Leslie Verville, Emiliano Vialle, Gomatam Vijay Kumar, Adriaan Vlok, William Watters, Chung Chek Wong, Jessica J. Wong, Hainan Yu, Selcen Yüksel

Research output: Contribution to journal › Article › peer-review

22 Scopus citations

Abstract

Purpose: Spine-related disorders are a leading cause of global disability and are a burden on society and to public health. Currently, there is no comprehensive, evidence-based model of care for spine-related disorders, which includes back and neck pain, deformity, spine injury, neurological conditions, spinal diseases, and pathology, that could be applied in global health care settings. The purposes of this paper are to propose: (1) principles to transform the delivery of spine care; (2) an evidence-based model that could be applied globally; and (3) implementation suggestions. Methods: The Global Spine Care Initiative (GSCI) meetings and literature reviews were synthesized into a seed document and distributed to spine care experts. After three rounds of a modified Delphi process, all participants reached consensus on the final model of care and implementation steps. Results: Sixty-six experts representing 24 countries participated. The GSCI model of care has eight core principles: person-centered, people-centered, biopsychosocial, proactive, evidence-based, integrative, collaborative, and self-sustaining. The model of care includes a classification system and care pathway, levels of care, and a focus on the patient’s journey. The six steps for implementation are initiation and preparation; assessment of the current situation; planning and designing solutions; implementation; assessment and evaluation of program; and sustain program and scale up. Conclusion: The GSCI proposes an evidence-based, practical, sustainable, and scalable model of care representing eight core principles with a six-step implementation plan. The aim of this model is to help transform spine care globally, especially in low- and middle-income countries and underserved communities. Graphical abstract: These slides can be retrieved under Electronic Supplementary Material.[Figure not available: see fulltext.]

Original language	English (US)
Pages (from-to)	925-945
Number of pages	21
Journal	European Spine Journal
Volume	27
DOIs	https://doi.org/10.1007/s00586-018-5720-z
State	Published - Sep 1 2018

Keywords

Global burden of disease
Musculoskeletal system
Quality of health care
Spinal diseases

ASJC Scopus subject areas

Surgery
Orthopedics and Sports Medicine

Access to Document

10.1007/s00586-018-5720-z

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Johnson, C. D., Haldeman, S., Chou, R., Nordin, M., Green, B. N., Côté, P., Hurwitz, E. L., Kopansky-Giles, D., Acaroğlu, E., Cedraschi, C., Ameis, A., Randhawa, K., Aartun, E., Adjei-Kwayisi, A., Ayhan, S., Aziz, A., Bas, T., Blyth, F., Borenstein, D., ... Yüksel, S. (2018). The Global Spine Care Initiative: model of care and implementation. European Spine Journal, 27, 925-945. https://doi.org/10.1007/s00586-018-5720-z

The Global Spine Care Initiative : model of care and implementation. / Johnson, Claire D.; Haldeman, Scott; Chou, Roger; Nordin, Margareta; Green, Bart N.; Côté, Pierre; Hurwitz, Eric L.; Kopansky-Giles, Deborah; Acaroğlu, Emre; Cedraschi, Christine; Ameis, Arthur; Randhawa, Kristi; Aartun, Ellen; Adjei-Kwayisi, Afua; Ayhan, Selim; Aziz, Amer; Bas, Teresa; Blyth, Fiona; Borenstein, David; Brady, O’Dane D.; Brooks, Peter; Camilleri, Connie; Castellote, Juan M.; Clay, Michael B.; Davatchi, Fereydoun; Dudler, Jean; Dunn, Robert; Eberspaecher, Stefan; Emmerich, Juan; Farcy, Jean Pierre; Fisher-Jeffes, Norman; Goertz, Christine; Grevitt, Michael; Griffith, Erin A.; Hajjaj-Hassouni, Najia; Hartvigsen, Jan; Hondras, Maria; Kane, Edward J.; Laplante, Julie; Lemeunier, Nadège; Mayer, John; Mior, Silvano; Mmopelwa, Tiro; Modic, Michael; Moss, Jean; Mullerpatan, Rajani; Muteti, Elijah; Mwaniki, Lillian; Ngandeu-Singwe, Madeleine; Outerbridge, Geoff; Rajasekaran, Shanmuganathan; Shearer, Heather; Smuck, Matthew; Sönmez, Erkin; Tavares, Patricia; Taylor-Vaisey, Anne; Torres, Carlos; Torres, Paola; van der Horst, Alexander; Verville, Leslie; Vialle, Emiliano; Kumar, Gomatam Vijay; Vlok, Adriaan; Watters, William; Wong, Chung Chek; Wong, Jessica J.; Yu, Hainan; Yüksel, Selcen.

In: European Spine Journal, Vol. 27, 01.09.2018, p. 925-945.

Research output: Contribution to journal › Article › peer-review

Johnson, CD, Haldeman, S, Chou, R, Nordin, M, Green, BN, Côté, P, Hurwitz, EL, Kopansky-Giles, D, Acaroğlu, E, Cedraschi, C, Ameis, A, Randhawa, K, Aartun, E, Adjei-Kwayisi, A, Ayhan, S, Aziz, A, Bas, T, Blyth, F, Borenstein, D, Brady, ODD, Brooks, P, Camilleri, C, Castellote, JM, Clay, MB, Davatchi, F, Dudler, J, Dunn, R, Eberspaecher, S, Emmerich, J, Farcy, JP, Fisher-Jeffes, N, Goertz, C, Grevitt, M, Griffith, EA, Hajjaj-Hassouni, N, Hartvigsen, J, Hondras, M, Kane, EJ, Laplante, J, Lemeunier, N, Mayer, J, Mior, S, Mmopelwa, T, Modic, M, Moss, J, Mullerpatan, R, Muteti, E, Mwaniki, L, Ngandeu-Singwe, M, Outerbridge, G, Rajasekaran, S, Shearer, H, Smuck, M, Sönmez, E, Tavares, P, Taylor-Vaisey, A, Torres, C, Torres, P, van der Horst, A, Verville, L, Vialle, E, Kumar, GV, Vlok, A, Watters, W, Wong, CC, Wong, JJ, Yu, H & Yüksel, S 2018, 'The Global Spine Care Initiative: model of care and implementation', European Spine Journal, vol. 27, pp. 925-945. https://doi.org/10.1007/s00586-018-5720-z

Johnson, Claire D. ; Haldeman, Scott ; Chou, Roger ; Nordin, Margareta ; Green, Bart N. ; Côté, Pierre ; Hurwitz, Eric L. ; Kopansky-Giles, Deborah ; Acaroğlu, Emre ; Cedraschi, Christine ; Ameis, Arthur ; Randhawa, Kristi ; Aartun, Ellen ; Adjei-Kwayisi, Afua ; Ayhan, Selim ; Aziz, Amer ; Bas, Teresa ; Blyth, Fiona ; Borenstein, David ; Brady, O’Dane D. ; Brooks, Peter ; Camilleri, Connie ; Castellote, Juan M. ; Clay, Michael B. ; Davatchi, Fereydoun ; Dudler, Jean ; Dunn, Robert ; Eberspaecher, Stefan ; Emmerich, Juan ; Farcy, Jean Pierre ; Fisher-Jeffes, Norman ; Goertz, Christine ; Grevitt, Michael ; Griffith, Erin A. ; Hajjaj-Hassouni, Najia ; Hartvigsen, Jan ; Hondras, Maria ; Kane, Edward J. ; Laplante, Julie ; Lemeunier, Nadège ; Mayer, John ; Mior, Silvano ; Mmopelwa, Tiro ; Modic, Michael ; Moss, Jean ; Mullerpatan, Rajani ; Muteti, Elijah ; Mwaniki, Lillian ; Ngandeu-Singwe, Madeleine ; Outerbridge, Geoff ; Rajasekaran, Shanmuganathan ; Shearer, Heather ; Smuck, Matthew ; Sönmez, Erkin ; Tavares, Patricia ; Taylor-Vaisey, Anne ; Torres, Carlos ; Torres, Paola ; van der Horst, Alexander ; Verville, Leslie ; Vialle, Emiliano ; Kumar, Gomatam Vijay ; Vlok, Adriaan ; Watters, William ; Wong, Chung Chek ; Wong, Jessica J. ; Yu, Hainan ; Yüksel, Selcen. / The Global Spine Care Initiative : model of care and implementation. In: European Spine Journal. 2018 ; Vol. 27. pp. 925-945.

@article{c295169429454fe99200639028b759a6,

title = "The Global Spine Care Initiative: model of care and implementation",

abstract = "Purpose: Spine-related disorders are a leading cause of global disability and are a burden on society and to public health. Currently, there is no comprehensive, evidence-based model of care for spine-related disorders, which includes back and neck pain, deformity, spine injury, neurological conditions, spinal diseases, and pathology, that could be applied in global health care settings. The purposes of this paper are to propose: (1) principles to transform the delivery of spine care; (2) an evidence-based model that could be applied globally; and (3) implementation suggestions. Methods: The Global Spine Care Initiative (GSCI) meetings and literature reviews were synthesized into a seed document and distributed to spine care experts. After three rounds of a modified Delphi process, all participants reached consensus on the final model of care and implementation steps. Results: Sixty-six experts representing 24 countries participated. The GSCI model of care has eight core principles: person-centered, people-centered, biopsychosocial, proactive, evidence-based, integrative, collaborative, and self-sustaining. The model of care includes a classification system and care pathway, levels of care, and a focus on the patient{\textquoteright}s journey. The six steps for implementation are initiation and preparation; assessment of the current situation; planning and designing solutions; implementation; assessment and evaluation of program; and sustain program and scale up. Conclusion: The GSCI proposes an evidence-based, practical, sustainable, and scalable model of care representing eight core principles with a six-step implementation plan. The aim of this model is to help transform spine care globally, especially in low- and middle-income countries and underserved communities. Graphical abstract: These slides can be retrieved under Electronic Supplementary Material.[Figure not available: see fulltext.]",

keywords = "Global burden of disease, Musculoskeletal system, Quality of health care, Spinal diseases",

author = "Johnson, {Claire D.} and Scott Haldeman and Roger Chou and Margareta Nordin and Green, {Bart N.} and Pierre C{\^o}t{\'e} and Hurwitz, {Eric L.} and Deborah Kopansky-Giles and Emre Acaroğlu and Christine Cedraschi and Arthur Ameis and Kristi Randhawa and Ellen Aartun and Afua Adjei-Kwayisi and Selim Ayhan and Amer Aziz and Teresa Bas and Fiona Blyth and David Borenstein and Brady, {O{\textquoteright}Dane D.} and Peter Brooks and Connie Camilleri and Castellote, {Juan M.} and Clay, {Michael B.} and Fereydoun Davatchi and Jean Dudler and Robert Dunn and Stefan Eberspaecher and Juan Emmerich and Farcy, {Jean Pierre} and Norman Fisher-Jeffes and Christine Goertz and Michael Grevitt and Griffith, {Erin A.} and Najia Hajjaj-Hassouni and Jan Hartvigsen and Maria Hondras and Kane, {Edward J.} and Julie Laplante and Nad{\`e}ge Lemeunier and John Mayer and Silvano Mior and Tiro Mmopelwa and Michael Modic and Jean Moss and Rajani Mullerpatan and Elijah Muteti and Lillian Mwaniki and Madeleine Ngandeu-Singwe and Geoff Outerbridge and Shanmuganathan Rajasekaran and Heather Shearer and Matthew Smuck and Erkin S{\"o}nmez and Patricia Tavares and Anne Taylor-Vaisey and Carlos Torres and Paola Torres and {van der Horst}, Alexander and Leslie Verville and Emiliano Vialle and Kumar, {Gomatam Vijay} and Adriaan Vlok and William Watters and Wong, {Chung Chek} and Wong, {Jessica J.} and Hainan Yu and Selcen Y{\"u}ksel",

note = "Funding Information: CDJ is president of Brighthall Inc; she is an NCMIC Board of Director; however, neither she nor NCMIC board make funding decisions for the NCMIC Foundation; the views in this article are those of the authors and not those of Stanford University, Stanford Health Care, or Qualcomm. SH declares funding to UOIT from Skoll Foundation, NCMIC Foundation through World Spine Care. Clinical Policy Advisory Board and stock holder, Palladian Health. Advisory Board, SpineHealth.com. Book Royalties, McGraw Hill. Travel expense reimbursement?CMCC Board. RC declares funding from AHRQ to conduct systematic reviews on treatments for low back pain within last 2?years. Honoraria for speaking at numerous meetings of professional societies and non-profit groups on topics related to low back pain (no industry sponsored talks). MN declares funding from Skoll Foundation and NCMIC Foundation through World Spine Care; Co-Chair, World Spine Care Research Committee. Palladian Health, Clinical Policy Advisory Board member. Book Royalties Wolters Kluwer and Springer. Honoraria for speaking at research method courses. BNG receives speaker fees and travel reimbursement from NCMIC Speakers? Bureau; he is secretary of Brighthall Inc; the views in this article are those of the authors and not those of Stanford University, Stanford Health Care, or Qualcomm. PC is funded by a Canada Research Chair in Disability Prevention and Rehabilitation at the University of Ontario Institute of Technology, and declares funding to UOIT from Skoll Foundation, NCMIC Foundation through World Spine Care. Canadian Institutes of Health Research Canada. Research Chair Ontario Ministry of Finance. Financial Services Commission of Ontario. Ontario Trillium Foundation, ELIB Mitac. Fond de Recherche and Sante du Quebec. EH declares he is a consultant for: RAND Corporation; EBSCO Information Services; Southern California University of Health Sciences; Western University of Health Sciences Data and Safety Monitoring Committee. Chair, Palmer Center for Chiropractic Research. Research Committee Co-chair, World Spine Care. DKG declares travel expenses: CMCC to present at the WSC Spine Conference in Botswana. EAc declares grants: Depuy Synthes Spine, Medtronic; Speaker?s bureau: AOSpine, Zimmer Biomet. KR declares funding to UOIT from Skoll Foundation, NCMIC Foundation through World Spine Care. EA declares funding to UOIT from Skoll Foundation, NCMIC Foundation through World Spine Care. TB declares European Spine Journal provided a grant to investigate scoliosis. OB declares he is a consultant for: Pacira Pharmaceuticals, Inc. Palladian Health. Travel expenses: World Spine Care. Stipend: World Spine Care. PB declares contribution to salary for Global Musculoskeletal Alliance (G-MUSC), The Bone and Joint Decade work. JMC declares Government Grant ESPY 1281/15. SE is an employee of the Botswana Ministry of Health and Wellness. CG declares travel expenses: Palmer College to GSCI meetings. Consultant: American Chiropractic Association, Spine IQ, Healthwise, Quality Insights of Pennsylvania, RAND Co.; Prezacor, Inc. (Stock Options). PCORI (Board Member). Grants: Collaborative Care for Veterans with Spine pain and Mental Health Issues. NIH/Kiernan Chiropractic Care in Rehabilitation at Crotched Mountain: Crotched Mountain Private Sector Integrated Chiropractic Study N/A. NCMIC Foundation Chiropractic services, Assessment of Chiropractic Treatment for Low Back Pain; RAND Subcontract, Department of Defense Prime Award #W81XWH-11-2-017 Sub #9920110071. JH declares his research group has extensive Funding from Danish public Funding agencies, the European Union, and Danish charities. MH declares travel support from World Spine Care. JM declares general research resources from USF Research Center. Research Grants from funding agencies: FEMA, US Department of Homeland Security (EMW-2013-FP-00723). Palladian Health Advisory board: Clinical Policy and Advisory Board. Intellectual property rights: Inventor of Web-based system to deliver exercise (Employer?USF: copyright holder). TM declares Fellowship Grant-Medtronics. JM declares WSC Board Member. EM declares AO Spine Africa Faculty courses?honorarium. GO declares he is a consultant and receives travel support as Clinic Director, World Spine Care. HR declares Funding to UOIT from Skoll Foundation, NCMIC Foundation through World Spine Care. MS declares he is a Scientific Advisor, NuSpine; Consultant, and State Farm. ES declares funding from Ba?kent University Research Fund. ATV declares funding to UOIT from Skoll Foundation, NCMIC Foundation through World Spine Care. LV declares funding to UOIT from Skoll Foundation and NCMIC Foundation through World Spine Care. WW declares Palladian Health, Clinical Policy Advisory Board member. JW declares funding to UOIT from Skoll Foundation, NCMIC Foundation through World Spine Care. HY declares funding to UOIT from Skoll Foundation, NCMIC Foundation through World Spine Care and the remaining authors declare that they have no conflict of interest. Funding Information: ing from Skoll Foundation and NCMIC Foundation through World Spine Care; Co-Chair, World Spine Care Research Committee. Palladian Health, Clinical Policy Advisory Board member. Book Royalties Wolters Kluwer and Springer. Honoraria for speaking at research method courses. BNG receives speaker fees and travel reimbursement from NCMIC Speakers{\textquoteright} Bureau; he is secretary of Brighthall Inc; the views in this article are those of the authors and not those of Stanford University, Stanford Health Care, or Qualcomm. PC is funded by a Canada Research Chair in Disability Prevention and Rehabilitation at the University of Ontario Institute of Technology, and declares funding to UOIT from Skoll Foundation, NCMIC Foundation through World Spine Care. Canadian Institutes of Health Research Canada. Research Chair Ontario Ministry of Finance. Financial Services Commission of Ontario. Ontario Trillium Foundation, ELIB Mitac. Fond de Recherche and Sante du Quebec. EH declares he is a consultant for: RAND Corporation; EBSCO Information Services; Southern California University of Health Sciences; Western University of Health Sciences Data and Safety Monitoring Committee. Chair, Palmer Center for Chiropractic Research. Research Committee Co-chair, World Spine Care. DKG declares travel expenses: CMCC to present at the WSC Spine Conference in Botswana. EAc declares grants: Depuy Synthes Spine, Medtronic; Speaker{\textquoteright}s bureau: AOSpine, Zimmer Biomet. KR declares funding to UOIT from Skoll Foundation, NCMIC Foundation through World Spine Care. EA declares funding to UOIT from Skoll Foundation, NCMIC Foundation through World Spine Care. TB declares European Spine Journal provided a grant to investigate scoliosis. OB declares he is a consultant for: Pacira Pharmaceuticals, Inc. Palladian Health. Travel expenses: World Spine Care. Stipend: World Spine Care. PB declares contribution to salary for Global Musculoskeletal Alliance (G-MUSC), The Bone and Joint Decade work. JMC declares Government Grant ESPY 1281/15. SE is an employee of the Botswana Ministry of Health and Wellness. CG declares travel expenses: Palmer College to GSCI meetings. Consultant: American Chiropractic Association, Spine IQ, Healthwise, Quality Insights of Pennsylvania, RAND Co.; Prezacor, Inc. (Stock Options). PCORI (Board Member). Grants: Collaborative Care for Veterans with Spine pain and Mental Health Issues. NIH/Kiernan Chiropractic Care in Rehabilitation at Crotched Mountain: Crotched Mountain Private Sector Integrated Chiropractic Study N/A. NCMIC Foundation Chiropractic services, Assessment of Chiropractic Treatment for Low Back Pain; RAND Subcontract, Department of Defense Prime Award #W81X-WH-11-2-017 Sub #9920110071. JH declares his research group has extensive Funding from Danish public Funding agencies, the European Union, and Danish charities. MH declares travel support from World Spine Care. JM declares general research resources from USF Research Center. Research Grants from funding agencies: FEMA, US Department of Homeland Security (EMW-2013-FP-00723). Palladian Health Advisory board: Clinical Policy and Advisory Board. Intellectual property rights: Inventor of Web-based system to deliver exercise (Employer—USF: copyright holder). TM declares Fellowship Grant-Medtronics. JM declares WSC Board Member. EM declares AO Spine Africa Faculty courses—honorarium. GO declares he is a consultant and receives travel support as Clinic Director, World Spine Care. HR declares Funding to UOIT from Skoll Foundation, NCMIC Foundation through World Spine Care. MS declares he is a Scientific Advisor, NuSpine; Consultant, and State Farm. ES declares funding from Ba{\c s}kent University Research Fund. ATV declares funding to UOIT from Skoll Foundation, NCMIC Foundation through World Spine Care. LV declares funding to UOIT from Skoll Foundation and NC-MIC Foundation through World Spine Care. WW declares Palladian Health, Clinical Policy Advisory Board member. JW declares funding to UOIT from Skoll Foundation, NCMIC Foundation through World Spine Care. HY declares funding to UOIT from Skoll Foundation, NC-MIC Foundation through World Spine Care and the remaining authors declare that they have no conflict of interest. Publisher Copyright: {\textcopyright} 2018, The Author(s). Copyright: Copyright 2018 Elsevier B.V., All rights reserved.",

year = "2018",

month = sep,

day = "1",

doi = "10.1007/s00586-018-5720-z",

language = "English (US)",

volume = "27",

pages = "925--945",

journal = "European Spine Journal",

issn = "0940-6719",

publisher = "Springer Verlag",

}

TY - JOUR

T1 - The Global Spine Care Initiative

T2 - model of care and implementation

AU - Johnson, Claire D.

AU - Haldeman, Scott

AU - Chou, Roger

AU - Nordin, Margareta

AU - Green, Bart N.

AU - Côté, Pierre

AU - Hurwitz, Eric L.

AU - Kopansky-Giles, Deborah

AU - Acaroğlu, Emre

AU - Cedraschi, Christine

AU - Ameis, Arthur

AU - Randhawa, Kristi

AU - Aartun, Ellen

AU - Adjei-Kwayisi, Afua

AU - Ayhan, Selim

AU - Aziz, Amer

AU - Bas, Teresa

AU - Blyth, Fiona

AU - Borenstein, David

AU - Brady, O’Dane D.

AU - Brooks, Peter

AU - Camilleri, Connie

AU - Castellote, Juan M.

AU - Clay, Michael B.

AU - Davatchi, Fereydoun

AU - Dudler, Jean

AU - Dunn, Robert

AU - Eberspaecher, Stefan

AU - Emmerich, Juan

AU - Farcy, Jean Pierre

AU - Fisher-Jeffes, Norman

AU - Goertz, Christine

AU - Grevitt, Michael

AU - Griffith, Erin A.

AU - Hajjaj-Hassouni, Najia

AU - Hartvigsen, Jan

AU - Hondras, Maria

AU - Kane, Edward J.

AU - Laplante, Julie

AU - Lemeunier, Nadège

AU - Mayer, John

AU - Mior, Silvano

AU - Mmopelwa, Tiro

AU - Modic, Michael

AU - Moss, Jean

AU - Mullerpatan, Rajani

AU - Muteti, Elijah

AU - Mwaniki, Lillian

AU - Ngandeu-Singwe, Madeleine

AU - Outerbridge, Geoff

AU - Rajasekaran, Shanmuganathan

AU - Shearer, Heather

AU - Smuck, Matthew

AU - Sönmez, Erkin

AU - Tavares, Patricia

AU - Taylor-Vaisey, Anne

AU - Torres, Carlos

AU - Torres, Paola

AU - van der Horst, Alexander

AU - Verville, Leslie

AU - Vialle, Emiliano

AU - Kumar, Gomatam Vijay

AU - Vlok, Adriaan

AU - Watters, William

AU - Wong, Chung Chek

AU - Wong, Jessica J.

AU - Yu, Hainan

AU - Yüksel, Selcen

N1 - Funding Information: CDJ is president of Brighthall Inc; she is an NCMIC Board of Director; however, neither she nor NCMIC board make funding decisions for the NCMIC Foundation; the views in this article are those of the authors and not those of Stanford University, Stanford Health Care, or Qualcomm. SH declares funding to UOIT from Skoll Foundation, NCMIC Foundation through World Spine Care. Clinical Policy Advisory Board and stock holder, Palladian Health. Advisory Board, SpineHealth.com. Book Royalties, McGraw Hill. Travel expense reimbursement?CMCC Board. RC declares funding from AHRQ to conduct systematic reviews on treatments for low back pain within last 2?years. Honoraria for speaking at numerous meetings of professional societies and non-profit groups on topics related to low back pain (no industry sponsored talks). MN declares funding from Skoll Foundation and NCMIC Foundation through World Spine Care; Co-Chair, World Spine Care Research Committee. Palladian Health, Clinical Policy Advisory Board member. Book Royalties Wolters Kluwer and Springer. Honoraria for speaking at research method courses. BNG receives speaker fees and travel reimbursement from NCMIC Speakers? Bureau; he is secretary of Brighthall Inc; the views in this article are those of the authors and not those of Stanford University, Stanford Health Care, or Qualcomm. PC is funded by a Canada Research Chair in Disability Prevention and Rehabilitation at the University of Ontario Institute of Technology, and declares funding to UOIT from Skoll Foundation, NCMIC Foundation through World Spine Care. Canadian Institutes of Health Research Canada. Research Chair Ontario Ministry of Finance. Financial Services Commission of Ontario. Ontario Trillium Foundation, ELIB Mitac. Fond de Recherche and Sante du Quebec. EH declares he is a consultant for: RAND Corporation; EBSCO Information Services; Southern California University of Health Sciences; Western University of Health Sciences Data and Safety Monitoring Committee. Chair, Palmer Center for Chiropractic Research. Research Committee Co-chair, World Spine Care. DKG declares travel expenses: CMCC to present at the WSC Spine Conference in Botswana. EAc declares grants: Depuy Synthes Spine, Medtronic; Speaker?s bureau: AOSpine, Zimmer Biomet. KR declares funding to UOIT from Skoll Foundation, NCMIC Foundation through World Spine Care. EA declares funding to UOIT from Skoll Foundation, NCMIC Foundation through World Spine Care. TB declares European Spine Journal provided a grant to investigate scoliosis. OB declares he is a consultant for: Pacira Pharmaceuticals, Inc. Palladian Health. Travel expenses: World Spine Care. Stipend: World Spine Care. PB declares contribution to salary for Global Musculoskeletal Alliance (G-MUSC), The Bone and Joint Decade work. JMC declares Government Grant ESPY 1281/15. SE is an employee of the Botswana Ministry of Health and Wellness. CG declares travel expenses: Palmer College to GSCI meetings. Consultant: American Chiropractic Association, Spine IQ, Healthwise, Quality Insights of Pennsylvania, RAND Co.; Prezacor, Inc. (Stock Options). PCORI (Board Member). Grants: Collaborative Care for Veterans with Spine pain and Mental Health Issues. NIH/Kiernan Chiropractic Care in Rehabilitation at Crotched Mountain: Crotched Mountain Private Sector Integrated Chiropractic Study N/A. NCMIC Foundation Chiropractic services, Assessment of Chiropractic Treatment for Low Back Pain; RAND Subcontract, Department of Defense Prime Award #W81XWH-11-2-017 Sub #9920110071. JH declares his research group has extensive Funding from Danish public Funding agencies, the European Union, and Danish charities. MH declares travel support from World Spine Care. JM declares general research resources from USF Research Center. Research Grants from funding agencies: FEMA, US Department of Homeland Security (EMW-2013-FP-00723). Palladian Health Advisory board: Clinical Policy and Advisory Board. Intellectual property rights: Inventor of Web-based system to deliver exercise (Employer?USF: copyright holder). TM declares Fellowship Grant-Medtronics. JM declares WSC Board Member. EM declares AO Spine Africa Faculty courses?honorarium. GO declares he is a consultant and receives travel support as Clinic Director, World Spine Care. HR declares Funding to UOIT from Skoll Foundation, NCMIC Foundation through World Spine Care. MS declares he is a Scientific Advisor, NuSpine; Consultant, and State Farm. ES declares funding from Ba?kent University Research Fund. ATV declares funding to UOIT from Skoll Foundation, NCMIC Foundation through World Spine Care. LV declares funding to UOIT from Skoll Foundation and NCMIC Foundation through World Spine Care. WW declares Palladian Health, Clinical Policy Advisory Board member. JW declares funding to UOIT from Skoll Foundation, NCMIC Foundation through World Spine Care. HY declares funding to UOIT from Skoll Foundation, NCMIC Foundation through World Spine Care and the remaining authors declare that they have no conflict of interest. Funding Information: ing from Skoll Foundation and NCMIC Foundation through World Spine Care; Co-Chair, World Spine Care Research Committee. Palladian Health, Clinical Policy Advisory Board member. Book Royalties Wolters Kluwer and Springer. Honoraria for speaking at research method courses. BNG receives speaker fees and travel reimbursement from NCMIC Speakers’ Bureau; he is secretary of Brighthall Inc; the views in this article are those of the authors and not those of Stanford University, Stanford Health Care, or Qualcomm. PC is funded by a Canada Research Chair in Disability Prevention and Rehabilitation at the University of Ontario Institute of Technology, and declares funding to UOIT from Skoll Foundation, NCMIC Foundation through World Spine Care. Canadian Institutes of Health Research Canada. Research Chair Ontario Ministry of Finance. Financial Services Commission of Ontario. Ontario Trillium Foundation, ELIB Mitac. Fond de Recherche and Sante du Quebec. EH declares he is a consultant for: RAND Corporation; EBSCO Information Services; Southern California University of Health Sciences; Western University of Health Sciences Data and Safety Monitoring Committee. Chair, Palmer Center for Chiropractic Research. Research Committee Co-chair, World Spine Care. DKG declares travel expenses: CMCC to present at the WSC Spine Conference in Botswana. EAc declares grants: Depuy Synthes Spine, Medtronic; Speaker’s bureau: AOSpine, Zimmer Biomet. KR declares funding to UOIT from Skoll Foundation, NCMIC Foundation through World Spine Care. EA declares funding to UOIT from Skoll Foundation, NCMIC Foundation through World Spine Care. TB declares European Spine Journal provided a grant to investigate scoliosis. OB declares he is a consultant for: Pacira Pharmaceuticals, Inc. Palladian Health. Travel expenses: World Spine Care. Stipend: World Spine Care. PB declares contribution to salary for Global Musculoskeletal Alliance (G-MUSC), The Bone and Joint Decade work. JMC declares Government Grant ESPY 1281/15. SE is an employee of the Botswana Ministry of Health and Wellness. CG declares travel expenses: Palmer College to GSCI meetings. Consultant: American Chiropractic Association, Spine IQ, Healthwise, Quality Insights of Pennsylvania, RAND Co.; Prezacor, Inc. (Stock Options). PCORI (Board Member). Grants: Collaborative Care for Veterans with Spine pain and Mental Health Issues. NIH/Kiernan Chiropractic Care in Rehabilitation at Crotched Mountain: Crotched Mountain Private Sector Integrated Chiropractic Study N/A. NCMIC Foundation Chiropractic services, Assessment of Chiropractic Treatment for Low Back Pain; RAND Subcontract, Department of Defense Prime Award #W81X-WH-11-2-017 Sub #9920110071. JH declares his research group has extensive Funding from Danish public Funding agencies, the European Union, and Danish charities. MH declares travel support from World Spine Care. JM declares general research resources from USF Research Center. Research Grants from funding agencies: FEMA, US Department of Homeland Security (EMW-2013-FP-00723). Palladian Health Advisory board: Clinical Policy and Advisory Board. Intellectual property rights: Inventor of Web-based system to deliver exercise (Employer—USF: copyright holder). TM declares Fellowship Grant-Medtronics. JM declares WSC Board Member. EM declares AO Spine Africa Faculty courses—honorarium. GO declares he is a consultant and receives travel support as Clinic Director, World Spine Care. HR declares Funding to UOIT from Skoll Foundation, NCMIC Foundation through World Spine Care. MS declares he is a Scientific Advisor, NuSpine; Consultant, and State Farm. ES declares funding from Başkent University Research Fund. ATV declares funding to UOIT from Skoll Foundation, NCMIC Foundation through World Spine Care. LV declares funding to UOIT from Skoll Foundation and NC-MIC Foundation through World Spine Care. WW declares Palladian Health, Clinical Policy Advisory Board member. JW declares funding to UOIT from Skoll Foundation, NCMIC Foundation through World Spine Care. HY declares funding to UOIT from Skoll Foundation, NC-MIC Foundation through World Spine Care and the remaining authors declare that they have no conflict of interest. Publisher Copyright: © 2018, The Author(s). Copyright: Copyright 2018 Elsevier B.V., All rights reserved.

PY - 2018/9/1

Y1 - 2018/9/1

N2 - Purpose: Spine-related disorders are a leading cause of global disability and are a burden on society and to public health. Currently, there is no comprehensive, evidence-based model of care for spine-related disorders, which includes back and neck pain, deformity, spine injury, neurological conditions, spinal diseases, and pathology, that could be applied in global health care settings. The purposes of this paper are to propose: (1) principles to transform the delivery of spine care; (2) an evidence-based model that could be applied globally; and (3) implementation suggestions. Methods: The Global Spine Care Initiative (GSCI) meetings and literature reviews were synthesized into a seed document and distributed to spine care experts. After three rounds of a modified Delphi process, all participants reached consensus on the final model of care and implementation steps. Results: Sixty-six experts representing 24 countries participated. The GSCI model of care has eight core principles: person-centered, people-centered, biopsychosocial, proactive, evidence-based, integrative, collaborative, and self-sustaining. The model of care includes a classification system and care pathway, levels of care, and a focus on the patient’s journey. The six steps for implementation are initiation and preparation; assessment of the current situation; planning and designing solutions; implementation; assessment and evaluation of program; and sustain program and scale up. Conclusion: The GSCI proposes an evidence-based, practical, sustainable, and scalable model of care representing eight core principles with a six-step implementation plan. The aim of this model is to help transform spine care globally, especially in low- and middle-income countries and underserved communities. Graphical abstract: These slides can be retrieved under Electronic Supplementary Material.[Figure not available: see fulltext.]

AB - Purpose: Spine-related disorders are a leading cause of global disability and are a burden on society and to public health. Currently, there is no comprehensive, evidence-based model of care for spine-related disorders, which includes back and neck pain, deformity, spine injury, neurological conditions, spinal diseases, and pathology, that could be applied in global health care settings. The purposes of this paper are to propose: (1) principles to transform the delivery of spine care; (2) an evidence-based model that could be applied globally; and (3) implementation suggestions. Methods: The Global Spine Care Initiative (GSCI) meetings and literature reviews were synthesized into a seed document and distributed to spine care experts. After three rounds of a modified Delphi process, all participants reached consensus on the final model of care and implementation steps. Results: Sixty-six experts representing 24 countries participated. The GSCI model of care has eight core principles: person-centered, people-centered, biopsychosocial, proactive, evidence-based, integrative, collaborative, and self-sustaining. The model of care includes a classification system and care pathway, levels of care, and a focus on the patient’s journey. The six steps for implementation are initiation and preparation; assessment of the current situation; planning and designing solutions; implementation; assessment and evaluation of program; and sustain program and scale up. Conclusion: The GSCI proposes an evidence-based, practical, sustainable, and scalable model of care representing eight core principles with a six-step implementation plan. The aim of this model is to help transform spine care globally, especially in low- and middle-income countries and underserved communities. Graphical abstract: These slides can be retrieved under Electronic Supplementary Material.[Figure not available: see fulltext.]

KW - Global burden of disease

KW - Musculoskeletal system

KW - Quality of health care

KW - Spinal diseases

UR - http://www.scopus.com/inward/record.url?scp=85051487825&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85051487825&partnerID=8YFLogxK

U2 - 10.1007/s00586-018-5720-z

DO - 10.1007/s00586-018-5720-z

M3 - Article

C2 - 30151805

AN - SCOPUS:85051487825

VL - 27

SP - 925

EP - 945

JO - European Spine Journal

JF - European Spine Journal

SN - 0940-6719

ER -

The Global Spine Care Initiative: model of care and implementation

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